Postpsychiatry and postmodern psychotherapy: Theoretical and ethical issues in mental health care in a Polish context

2018 ◽  
Vol 28 (6) ◽  
pp. 780-799 ◽  
Author(s):  
Radosław Stupak ◽  
Krzysztof Dyga
Keyword(s):  
Mental Health ◽  
Ethical Issues ◽  
Therapeutic Process ◽  
Historical Context ◽  
Theoretical Background ◽  
Social Contexts ◽  
Ethical Challenges ◽  
To Come ◽  
Key Aspects

The article reconstructs postpsychiatry’s core propositions and briefly describes its theoretical background and assumptions. It also presents chosen aspects of postmodern psychotherapy, which seem to be in many ways similar to postpsychiatry’s ideas. Although they are drawn from different inspiration, postpsychiatry and postmodern psychotherapy seem to come to similar conclusions, especially regarding the role of the patient in the therapeutic process, the meaning of psychiatric diagnosis, and the importance of the institutional, cultural, and social contexts in mental health practice and research. The paper also aims to place postpsychiatry and postmodern psychotherapy in a Polish context, focusing on the ethical challenges faced by psychiatry and showing that some of postpsychiatry’s ideas and solutions to contemporary problems were already present in the Polish psychiatric literature of the 20th century. It also contains a brief description of the Polish social and historical context of psychiatry, as well as key aspects of the Polish legal system that relate to mental health and seem to reflect the nature of biomedical explanations of mental distress. It concludes that the model of psychiatric care postulated by “postmodern” approaches seems more ethical and scientifically and philosophically grounded and promises better treatment results than the “traditional” biomedical model.

Psychiatric Ethics

2021 ◽  
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Child And Adolescent Psychiatry ◽  
Social Contexts ◽  
Psychiatric Research ◽  
Liaison Psychiatry

Ethical issues inherent in psychiatric research and clinical practice are invariably complex and multifaceted. Well-reasoned ethical decision-making is essential to deal effectively with patients and enhance their care. Drawing on the positive reception of Psychiatric Ethics since its first publication in 1981, this highly anticipated fifth edition offers psychiatrists and other mental health professionals a coherent guide to dealing with the diverse ethical issues that challenge them. This edition has been substantially updated to reflect the many changes that have occurred in the field during the past decade. Its 25 chapters are grouped in three sections, as follows: 1) clinical practice in child and adolescent psychiatry, consultation-liaison psychiatry, psychogeriatrics, community psychiatry, and forensic psychiatry; 2) relevant basic sciences such as neuroethics and genetics; and 3) philosophical and social contexts including the history of ethics in psychiatry and the nature of professionalism. Principal aspects of clinical practice in general, such as confidentiality, boundary violations, and involuntary treatment, are covered comprehensively, as is a new chapter on diagnosis. Given the contributors’ expertise in their respective fields, Psychiatric Ethics will undoubtedly continue to serve as a significant resource for all mental health professionals, whatever the role they play in psychiatry. It will also benefit students of moral philosophy in their professional pursuits.

Digital Mental Health Support for Students in Higher Institutions in Nigeria During Pandemics

2022 ◽  
pp. 278-295
Author(s):  
Abel Ebiega Enokela
Keyword(s):  
Mental Health ◽  
School Counselors ◽  
Social Contexts ◽  
Higher Learning ◽  
Institutions Of Higher Learning ◽  
Mental Health Support ◽  
Response Measures ◽  
Health Support ◽  
To Come ◽  
Higher Institutions

This chapter examined the challenges associated with students' mental health in a pandemic period like the COVID-19 era and the expected coordinated response measures that should be in place to mitigate such challenges with focus on the mental health of students in institutions of higher learning in Nigeria, the most populous nation on the continent of Africa. Specifically, the review strengthened the need for school counselors' going back to the drawing board to come up with modalities that could keep students psychologically and emotionally healthy. Students normally enjoy school community life but would have to adjust their patterns of social interactions during an outbreak of an infectious disease. The review explored and applied the assumptions of social support theory which laid emphasis on supportive relationships within social contexts. School counselors were charged in this chapter to engage their students' community with digital mental health support to help them remain mentally healthy in spite of the adverse events usually provoked by the presence of a pandemic.

Ethical issues in social marketing

2017 ◽  
Author(s):  
Lynne Eagle ◽  
Stephan Dahl ◽  
David Low
Keyword(s):  
Social Marketing ◽  
Financial Incentives ◽  
Potential Role ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Code Of Ethics ◽  
Ethical Challenges ◽  
Ethical Frameworks

Many social marketers assume that because they are focusing on positive behaviour change they may expect fewer ethical issues arising from their work than conventional, commercial marketing. However, such a view is sadly too simplistic. This chapter focuses on the ethical issues facing social marketing. It argues that social marketers face an even greater potential for ethical issues and gives examples of these by focusing on targeting, stigmatization, victim blaming, coercion, and the use of financial incentives, among others. Recognizing the manifold potential for ethical challenges, and the lack of a decisive manner in which to resolve them easily, it then discusses ethical frameworks which can aid social marketers in formulating a response to potential issues and arriving at a considered decision. The chapter concludes by discussing the potential role of a professional code of ethics, and how this can aid future ethical decision-making.

Text Messaging and Private Practice: Ethical Challenges and Guidelines for Developing Personal Best Practices

2013 ◽  
Vol 35 (3) ◽  
pp. 211-227 ◽  
Author(s):  
Michael Sude
Keyword(s):  
Mental Health ◽  
Best Practices ◽  
Private Practice ◽  
Text Messaging ◽  
Ethical Issues ◽  
Ethical Challenges ◽  
Ethical Concerns ◽  
Message Service ◽  
Impact Of Technology ◽  
The Impact

The impact of technology on mental health practice is currently a concern in the counseling literature, and several articles have discussed using different types of technology in practice. In particular, many private practitioners use a cell phone for business. However, no article has discussed ethical concerns and best practices for the use of short message service (SMS), better known as text messaging (TM). Ethical issues that arise with TM relate to confidentiality, documentation, counselor competence, appropriateness of use, and misinterpretation. There are also such boundary issues to consider as multiple relationships, counselor availability, and billing. This article addresses ethical concerns for mental health counselors who use TM in private practice. It reviews the literature and discusses benefits, ethical concerns, and guidelines for office policies and personal best practices.

scholarly journals Brazilian Foreign Policy for Immigrants and Refugees: New Concepts and Ethical Issues

2020 ◽  
Vol 8 (19) ◽  
Author(s):  
Roberto Rodolfo Georg Uebel
Keyword(s):  
Foreign Policy ◽  
Ethical Issues ◽  
West African ◽  
Ethical Challenges ◽  
Practical Application ◽  
Immigrants And Refugees ◽  
New Concepts ◽  
West African Coast ◽  
Migration Flows

In the last decades, Brazil has received about 2,1 million immigrants, according to the Federal Police. In this contingency, migration flows from Latin America, Caribbean and West African coast can be highlighted, represented respectively by Haitians, Cubans, Venezuelans, Bolivians, Senegalese and Ghanaians. Thus, this paper will discuss the role of Brazilian Foreign Policy, as a legal tool to coordinate Brazil’s immigration agenda and it aims to present the possibilities of the practical application of public policies for immigrants and refugees in the country based on the ethical challenges encountered by the Brazilian State and by the immigrants themselves, vis-à-vis to the foregoing context. Also, the paper will also present a brief immigration overview of Brazil, as well as launching for debate the concept of Brazilian Foreign Policy for Migrants and Refugees and its ethical challenges and delimitations in the Brazilian migration governance.

The role of online ethics consultation on mental health

2020 ◽  
Vol 27 (5) ◽  
pp. 1261-1269
Author(s):  
Kayoko Ohnishi ◽  
Teresa E Stone ◽  
Takashi Yoshiike ◽  
Kazuyo Kitaoka
Keyword(s):  
Mental Health ◽  
Moral Distress ◽  
Ethical Issues ◽  
Physical Restraint ◽  
Ethics Consultation ◽  
Mental Health Nurses ◽  
Ethical Problems ◽  
Improving Patient Care

Background Nurses experience moral distress when they cannot do what they believe is right or when they must do what they believe is wrong. Given the limited mechanisms for managing ethical issues for nurses in Japan, an Online Ethics Consultation on mental health (OEC) was established open to anyone seeking anonymous consultation on mental health practice. Research objective To report the establishment of the Online Ethics Consultation and describe and evaluate its effectiveness. Ethical considerations The research was conducted in accordance with the Declaration of Helsinki. Research design This evaluation describes the outcomes of 5 years of operation of the Online Ethics Consultation on mental health in Japan Participants The Online Ethics Consultation received 12 emails requesting consultation. Consultees included mental health nurses, psychiatrists, and service users. Findings The most common questions directed to the service were about seclusion and physical restraint. Response time from receipt of email to sending a reply was between 1 and 14 days. Despite the disappointing number of consultations, feedback has been positive. Discussion The Online Ethics Consultation was established to assist morally sensitive nurses in resolving their ethical problems through provision of unbiased and encouraging advice. Mental health care in Japan has been less than ideal: long-term social hospitalization, seclusion, and restraint are common practices that often lead to moral distress in nurses and the questions received reflected this. The head of the Online Ethics Consultation sent a supportive, facilitative response summarizing the opinions of several consultants. Conclusion This study provides key information for the establishment of an online ethics resource the adoption of which has the potential to improve the experience of nurses, allied health and clients of mental health services. This paper has implications for services concerned with improving patient care, managing nurses’ moral distress, building ethics into decision-making.

The “Flashforward Procedure”: Confronting the Catastrophe

2014 ◽  
Vol 8 (1) ◽  
pp. 25-32 ◽  
Author(s):  
Robin David Julian Logie ◽  
Ad De Jongh
Keyword(s):  
Mental Health ◽  
Case Studies ◽  
Eye Movement ◽  
Mental Health Problems ◽  
Therapeutic Process ◽  
Health Problems ◽  
Theoretical Background ◽  
Illustrative Case ◽  
Psychological Conditions ◽  
The Core

This article introduces the “Flashforward procedure,” which is a specific application of eye movement desensitization and reprocessing (EMDR). It is used for the treatment of irrational fears, for example, when a persisting fear continues after the core memories of past events have been fully processed. A theoretical background is presented, and the procedure is explained, together with 2 illustrative case studies. We describe psychological conditions and mental health problems for which the use of EMDR aimed at client’s flashforward might be appropriate, as well as indicating which stage in the therapeutic process is most applicable for the use of this procedure. Furthermore, the Flashforward procedure is compared with other EMDR applications and similar procedures in other therapies. Some implications are discussed.

Ethics and Digital Government

2011 ◽  
pp. 218-235 ◽  
Author(s):  
Ronald E. Anderson
Keyword(s):  
Digital Technology ◽  
Ethical Issues ◽  
Code Of Ethics ◽  
Leading Edge ◽  
Codes Of Ethics ◽  
Ethical Challenges ◽  
Digital Government ◽  
Computing Machinery ◽  
Ethical Choices

After considering the high costs to digital government of inadequate ethical choices, the role of ethics in government generally is reviewed. While codes of ethics may not go far toward resolving ethical challenges, they provide bases for ethical discourses and embody key ethical principles. Selected principles from the Code of Ethics of the Association for Computing Machinery (ACM) are applied to contemporary ethical issues in the context of digital government. In the rapidly evolving environments of digital technology, it is impossible to anticipate the leading-edge ethical issues. However, there are solid ethical or moral imperatives to use these principles for resolution of the issues.

Perinatal Mental Health

2019 ◽  
pp. 209-232
Author(s):  
Lori d’Agincourt-Canning ◽  
Deirdre Ryan
Keyword(s):  
Mental Health ◽  
Psychotic Disorders ◽  
Ethical Issues ◽  
Medication Use ◽  
Perinatal Mental Health ◽  
Relational Autonomy ◽  
Ethical Challenges ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Medication Decisions

This chapter reviews ethical issues pertaining to the care of women with mental illness during pregnancy and the postpartum period. The incidence of perinatal depression and anxiety and psychotic disorders and their respective treatments are described. Ethics principles and perspectives that guide perinatal mental health care are discussed critically. Relational autonomy is shown to be a key principle to guide treatment decisions for these women. The value of relational autonomy in addressing ethical challenges is illustrated by three cases in reproductive mental health: psychotropic medication decisions during pregnancy; enforced treatment; and disclosure of medication use to fathers. A fourth case addresses social justice considerations of mother–baby units for women experiencing a perinatal mental health crisis. This analysis calls for a notion of self-determination that accounts for how autonomy occurs and is enacted within specific relational, social, cultural, and political contexts.

scholarly journals Methodological challenges in the use of focus groups with people with severe mental illness

2017 ◽  
Vol 33 (6) ◽  
Author(s):  
Rosana Teresa Onocko-Campos ◽  
Alberto Rodolfo Giovanello Díaz ◽  
Catarina Magalhães Dahl ◽  
Erotildes Maria Leal ◽  
Octavio Domont de Serpa Junior
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Community Mental Health ◽  
Focus Groups ◽  
Severe Mental Illness ◽  
Ethical Issues ◽  
Collaborative Work ◽  
Mental Healthcare ◽  
Community Mental Health Services ◽  
Ethical Challenges

Abstract: This study addresses the practical, methodological and ethical challenges that were found in three studies that used focus groups with people with severe mental illness, in the context of community mental health services in Brazil. Focus groups are a powerful tool in health research that need to be better discussed in research with people with severe mental illness, in the context of community mental health facilities. This study is based on the authors’ experience of conducting and analyzing focus groups in three different cities - Campinas, Rio de Janeiro and Salvador - between 2006-2010. The implementation of focus groups with people with severe mental illness is discussed in the following categories; planning, group design, sampling, recruitment, group interview guides, and conduction. The importance of connecting mental healthcare providers as part of the research context is emphasized. Ethical issues and challenges are highlighted, as well as the establishment of a sensitive and empathic group atmosphere, wherein mutual respect can facilitate interpersonal relations and enable people diagnosed with severe mental illness to make sense of the experience. We emphasize the relevance of the interaction between clinical and research teams in order to create collaborative work, achieve inquiry aims, and elicit narratives of mental health users and professionals.

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